Parish Registration

Consider registering as a regular parishioner at St. Catherine Labouré and enjoy
all the benefits that our Parish has to offer. Please use the form below to request to be registered as a new
parishioner.

Field Items below marked with an
* are required.

First Name:

*

Last Name:

*

Address:

*

Suite or Unit No.:

City:

*

State:

*

Postal Code:

*

Phone:

*

Email:

*

Marriage, Religion and Occupation Information

Spouse Name:

Wife Maiden Name:

Marriage Date:

Church Name:

Church City:

Church State:

Religion (Self):

Baptized?YesNo

Religion (Spouse):

Baptized?YesNo

Occupation (Self):

Occupation (Spouse):

Date of Birth (Self):

Date of Birth (Spouse):

Non-English Language:

Children Information

1st Child

Child's Name:

Date of Birth:

School Grade Level:

CCD?

YesNo

Baptized?

YesNo

Communion?

YesNo

Confirmation?

YesNo

2nd Child

Child's Name:

Date of Birth:

School Grade Level:

CCD?

YesNo

Baptized?

YesNo

Communion?

YesNo

Confirmation?

YesNo

3rd Child

Child's Name:

Date of Birth:

School Grade Level:

CCD?

YesNo

Baptized?

YesNo

Communion?

YesNo

Confirmation?

YesNo

4th Child

Child's Name:

Date of Birth:

School Grade Level:

CCD?

YesNo

Baptized?

YesNo

Communion?

YesNo

Confirmation?

YesNo

5th Child

Child's Name:

Date of Birth:

School Grade Level:

CCD?

YesNo

Baptized?

YesNo

Communion?

YesNo

Confirmation?

YesNo

6th Child

Child's Name:

Date of Birth:

School Grade Level:

CCD?

YesNo

Baptized?

YesNo

Communion?

YesNo

Confirmation?

YesNo

Enter below what inspired or attracted you to our Parish, also, any Parish activities or services
that may be of interest to you. If there are any other children or adults in your household, please also enter them here and
their relationship to you.